33D2146905 CLIA NUMBER - CLAXTON MEDICAL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D2146905
  • Facility Name: CLAXTON MEDICAL PEDIATRICS
  • Facility Address: 500 STATE STREET
    OGDENSBURG, NY
    ZIP 13669
  • Facility Phone: 315 713-6770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. RITA J. CROWLEY
  • NPI Number: 1114164944
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2146905
LAB Type Physician Office
Facility Name CLAXTON MEDICAL PEDIATRICS
Street 500 STATE STREET
City OGDENSBURG
State NY
ZIP 13669
Phone 315 713-6770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2018
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director MS. RITA J. CROWLEY

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This page was last updated on: 3/20/2025